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1417156795
LESLIE L RUSSELL
FLORENCE, SC
NPI
1417156795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 007152)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
Mrs. LESLIE L RUSSELL LMSW
514 S DARGAN ST STE H
FLORENCE, SC 29506-2552
Phone number: 843-292-8383
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Mailing Address
Mrs. LESLIE L RUSSELL LMSW
2126 BECKETT DR
FLORENCE, SC 29505-3300
Phone number: 803-731-4907
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